Description
MILITARY VETERANS
Revenue Integrity Service Line Analyst – Revenue Integrity – F/T Days Req ID: 83869 Location: Irvine, California Division: Medical Center Department: Revenue Integrity Position Type: Full Time Salary Range Minimum: USD $73,900.00/Yr. Salary Range Maximum: USD $133,700.00/Yr. Who We Are Position Summary: The University of California, Irvine, a career destination unlike any other, is built upon a rich history of academic and healthcare excellence. We are supported by a globally unique team of academic professionals, researchers, medical experts, and staff. Guided by our mission, vision, and strategic pillars, we thrive in a collaborative environment. We celebrate and leverage the diverse experiences and perspectives of our UCI community to continue to push the boundaries of innovation. Your opportunity to be a part of an award winning team, advancing your career journey, is now! Under the direct supervision of Revenue Integrity Assistant Director, the Senior Financial Analyst will be responsible for data collection, report production, and comprehensive financial analysis of hospital information in support of Revenue Integrity’s internal operations as well as revenue cycle functions at the organizational level. The employee will monitor, charge capture activities, system interfaces between various charge capture systems, assist in charge automation initiatives, and will collaborate with Revenue cycle business partners regarding programming enhancements, system upgrades. Retrieves data for standard and ad hoc reporting as needed or requested. Analysis and reports will include trending, benchmarking, functional flows, and performance measures that identify deficiencies and improvements in the revenue cycle. Incumbent is the primary liaison for all institutional revenue generation for diagnostic and therapy services including but not limited to; Pathology, Cardiology, Radiology, and Therapy Departments. Your Role on the Team Essential Job Functions: The identification of essential functions below is not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position. Writes, reviews, and/or recommends effective changes to system(s) policies and procedures to ensure appropriate utilization. 10% Writes effective analytical reports and descriptive summaries. Collects and assembles analytical and factual data appropriate to assigned problems. Effectively maintains information in formats that facilitate reporting needs and that support charge practice initiatives. Works to ensure the dissemination of accurate, reliable, timely, accessible, actionable information to help leaders actively identify and address opportunities to improve. 30% Performs extensive analysis including benchmarking, trends and performance improvement needs for revenue integrity functions. Conducts internal and external trend analyses and effectively identifies corrective measures as needed. Provides comprehensive financial analysis of revenue cycle performance indicators and provides recommendations for improvement of identified deficiencies. 30% Effectively monitors daily charge processing and interfaces, resolving issues as they occur. Acts as liaison to staff, department managers, PFS, DSS, and HIM for revenue cycle work process 20% Develops and/or participates in project plans for systems upgrades and programming enhancements including objectives, scope, approach, resources, time frames and targeted outcomes with agreed upon deadline. Participates with project members as needed to obtain or dispense project information and resolve any project related issues. 10% What It Takes to be Successful Total Compensation We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits . Required Qualifications: Skill to read and correctly interpret governmental and commercial payor regulations and develop and implement recommendations consistent with interpretations Skill to effectively work with all levels of health system personnel including directors and physicians Skill in converting master files into reports for departmental use and in ad hoc technical report writing, complex analysis and data conversion into different formats. Must have a working knowledge of Current Procedural Terminology (CPT) and Diagnosis (ICD-9) codes Knowledge of provider and governmental processes Knowledge of ICD-10 and CPT codes Knowledge of HIPAA Extensive knowledge of split fee billing and hospital outpatient charging and OPPS reimbursement Experience working with hospital billing systems and knowledge of third party billing requirements as well as knowledge of institutional and professional charging practice and charge automation functions which is typically obtained through 5 years’ experience. In addition must have knowledge of automated patient account function and be familiar with Electronic Health Records interfaces, extrapolation of data and charge processing. Excellent written and verbal communication skills in English Excellent computer skills and experience with a thorough working knowledge of Microsoft Access and Excel Preferred Qualifications: Knowledge of Tableau Knowledge of Structure Query Language (SQL) Database experience with SQL Certificate as a CHP professional from AHIMA CPC-H or CPC coding certification Bachelor’s Degree in Business, Finance or related field Conditions of Employment: The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment: Background Check and Live Scan Legal Right to Work in the United States Vaccination Policies Smoking and Tobacco Policy Drug Free Environment The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements. California Child Abuse and Neglect Reporting Act E-Verify Pre-Placement Health Evaluation Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php Closing Statement: The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy . We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI’s Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday – Friday from 8:30 a.m. – 5:00 p.m. Consideration for Work Authorization Sponsorship Must be able to provide proof of work authorization To apply, visit https://jobs.uci.edu/careers-home/jobs/83869 Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-772de6dd9a5fc543a6b3ee9738dec970